Individual provider Active NPI

Mariacristina Isaza-Chapman, MA. LPC

  • Professional Counselor
  • Beaverton, OR
National Provider Identifier
1023263779
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2193 Issued in OR
Practice address
12250 SW 2ND St
Suite 106
Beaverton, OR 97005-2828
Phone
(971) 226-7155
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2193 OR Primary

Addresses

Primary practice location

12250 SW 2ND St
Suite 106
Beaverton, OR 97005-2828

Mailing address

16360 SW Cinnabar CT
Beaverton
Beaverton, OR 97007-8101
Phone (971) 226-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C2193ORMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1023263779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 SW CINNABAR CT",
            "address_2": "BEAVERTON",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078101",
            "telephone_number": "971-226-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 SW 2ND ST",
            "address_2": "SUITE 106",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052828",
            "telephone_number": "971-226-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAZA-CHAPMAN",
        "first_name": "MARIACRISTINA",
        "name_prefix": "Mrs.",
        "credential": "MA. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.